Sun Life jobs in Des Moines, IA - 9 jobs

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: Location: Candidate must live in Iowa The opportunity: The Sr. Case Manager works with members requiring intensive or complex care, to assess, facilitate, plan and coordinate integrated care across the dental and medical care delivery systems. This role will develop and implement an individualized care plan in collaboration with the member/member's support network to address the member's needs and reach established goals. The Sr. Case Manager works to ensure the member is making progress toward desired outcomes. How you will contribute: Completes comprehensive assessments of members according to timelines defined in policy to identify members eligible for case management based on stratification criteria, scoring, clinical judgment, and triggers identified during the assessment. Develops and implements an individualized care plan in collaboration with the member, caregiver, Managed Care Organization, provider, community-based organization and/or the members support network. Deliver evidence-based, enrollee-centered interventions and follow-up that facilitates the delivery of needed preventive and treatment services, promote self-management and connect members to needed social aids Ensure appropriate and timely access to quality care through coordinating services needed and eliminating barriers to receiving care. Partner with other entities involved in member's care, including medical and dental providers, Managed Care Organization, and community-based organizations, in a coordinated approach that promotes oral and systemic health and creates new lines of communication to addresses both the medical and dental needs of the member. Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions, identify variances and progress to goal achievement. Implements necessary changes and/or corrective actions to address variances, changes in circumstances or other variables that are impeding progress toward achieving goals. Maintains ongoing member case load for regular outreach and management. Applies fundamentals of self-management and motivational interviewing techniques to set goals, educate, support and motivate behavioral change. Facilitate collaborative activities with Managed Care Organizations to promote care continuity and bridge the gap between medical and dental health of members. Compile information and reports to produce metrics and case management program evaluation Identify, create and improve workflows in case management program and interdisciplinary team to ensure optimum support assisting members in navigating medical and dental care delivery system. Represent the company in a professional manner at all times. Completes special projects as requested. Adhere to business processes. Other duties as assigned. What you will bring with you: Bachelor's Degree in a health-related field, 3 years clinical experience or any combination of education an experience which would provide an equivalent background. Preferred License, Certification: Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Licensed Professional Counselor (LPC/LPCC) or Registered Dental Hygienist (RDH), 1-3 years in case management, disease management or managed care preferred. Well-organized and exceptional organizational, written and oral communication skills, particularly presentation skills. Knowledge of quality improvement methodologies and population health management preferred. Knowledge of healthcare advocacy activities is preferred. Knowledge of clinical and industry terminology and procedures. Self-motivated, and ability to work with little supervision. Strong problem-solving skills and the ability to make independent decisions. Knowledge of general computer software (Excel, MS Word, and Access a plus). Proven problem-solving skills. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected vetera n. Job Category: Health Advisor Posting End Date: 26/02/2026

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Location: Must live in Iowa The opportunity: Join our Quality Management team as a Quality Oversight Senior Specialist, where your attention to detail and analytical thinking will directly impact our organization's compliance and quality objectives. This key position requires someone who thrives in a dynamic environment, can adapt to shifting priorities, and has a passion for identifying and resolving process improvements. The ideal candidate excels at pivoting between tasks, thinks creatively to solve complex challenges, and contributes to our commitment to exceptional service delivery. You'll thrive if you're naturally curious, detail-oriented, and passionate about continuous improvement. How you will contribute: Conduct comprehensive quality assurance assessments to identify process deviations and service level metric gaps Track quality contractual requirements and ensure ongoing compliance Identify potential compliance issues and communicate findings effectively to management Review and enhance documentation for clarity and accuracy Prepare and deliver quality reports to senior management and clients Coordinate quality assurance projects across multiple departments Participate in client meetings and maintain professional relationships across all organizational levels Foster a collaborative environment focused on mutual respect, cooperation, and information sharing What you will bring with you: Strong writing and communication skills with proven ability to articulate complex information clearly Keen observational skills and analytical curiosity, with talent for identifying and communicating process discrepancies or anomalies Critical thinking abilities and willingness to challenge existing processes Solid understanding of NCQA and/or URAC requirements Knowledge of federal and state healthcare quality regulations Beyond basic-level proficiency in Microsoft Word, PowerPoint, and Excel Demonstrated ability to manage competing priorities and adapt to changing requirements Advanced writing proficiency and technical communication experience Project management or coordination experience Healthcare data analysis and visualization skills Knowledge of healthcare quality management systems Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Customer Service / Operations Posting End Date: 29/01/2026

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: Location: Candidate must live in Iowa The opportunity: The Associate Provider Partner Consultant serves as a key liaison between DentaQuest and its network of participating providers while also functioning as an operational and analytical resource to the broader Provider Engagement organization. This role blends direct provider relationship management with data reporting, project coordination, training, and communication responsibilities to ensure consistent and compliant engagement across all markets and lines of business. How you will contribute: Provider Engagement & Education * Educate dental offices on policies, procedures, and value-based programs via phone, email, webinars, and in-office visits. * Promote technology adoption including web portal functionality, electronic claims submission, and EFT options. * Support onboarding of new providers and re-credentialing processes, ensuring accurate data, directory updates, and timely activation. * Conduct training sessions and webinars; serve as SME on company tools, portals, and engagement processes. Operational Support * Manage team SharePoint and internal resource sites; maintain updated link libraries, acronyms, and definition pages for Provider Partners. * Create and maintain dashboards to track provider engagement metrics and outcomes. * Generate leadership reports and monthly summaries highlighting performance, network status, and key initiatives. * Submit AP requests, Committee submissions, and vendor oversight tracking (Trachmar, Veritas, etc.). * Maintain communication templates, newsletters, FAQs, quick reference guides, and provider notifications with appropriate approvals (DMX, client, and compliance). * Prepare and distribute provider scorecards, performance summaries, and compliance updates where applicable. Project Management & Collaboration * Coordinate internal and client-facing projects by creating project plans, maintaining timelines, recording notes, and following up on deliverables. * Track new business implementations and network loads, including opt-outs, amendments, and provider terminations. * Participate with initiatives, ensuring materials, ORMs, and communications are validated and timely. * Support implementation of new tools and systems, serving as a super user or trainer for new software/hardware rollouts. * Partner with marketing and communications to align materials across all markets for consistency and professional presentation. Data, Reporting, and Compliance * Run and validate reports to maintain provider directories, GeoAccess, and network validation compliance. * Perform Excel-based comparisons, file merges, and network analyses to identify disruptions, gaps, or discrepancies. * Maintain tracking logs for provider notifications, trainings, and regulatory deliverables. * Ensure compliance with all policies, CMS, and state contractual requirements including annual provider compliance trainings. Training, Support & Internal Leadership * Develop and facilitate team training on dashboards, reporting, purchasing, vendor management, and provider communications. * Lead and coordinate internal engagement efforts (holiday events, team meetings, SME presentations, etc.) to promote collaboration. What you will bring with you: * Associate's degree; Bachelor's preferred (Business, Healthcare Administration, or related field) or relevant years of experience * Minimum of 3 years' experience in healthcare or managed dental care, including provider support or network administration. * Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word, Teams, SharePoint). * Strong project management, data analysis, and organizational skills. * Excellent written and verbal communication; ability to work across teams and with providers. * Up to 25% travel required for provider office visits, meetings, and events. Preferred Qualifications: * 5+ years of dental or managed care experience. * Experience with DentaQuest systems (Oracle, Veritas, Trachmar, DMX, NGPP). * Demonstrated expertise in provider training, communications, and process improvement. * Experience building dashboards, managing SharePoint content, and coordinating multi-state initiatives. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Sales - Client Relationship Management Posting End Date: 26/02/2026

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: Candidate must reside in the state of Iowa. Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work in the contiguous states plus AK. The opportunity: Provider Enrollment and Credentialing Specialist reviews all aspects of the Initial/ Re-Apply Credentialing, Re-credentialing, privileging and overseeing the onboarding process for all incoming providers. Primary responsibilities include verifying all the credentialing criteria for practitioners that have applied to the network, including follow up with practitioners as needed to obtain information How you will contribute: * Verify potential and existing provider's licensure, NPI, insurance, CDS, DEA certificate, education, hospital privileges, board certification. * Contract Validation: Review contract and application for completeness. * Review National Practitioners Data Bank for adverse charges pending or filed against Provider. * Review federal and/ or state OIG and SAM report for exclusion from the Medicaid or Medicare program. * Review state Medicare OPT Out report for exclusion from the Medicare program. * Monitors and reports provider complaints and utilization management reports. * Assist with scheduling site reviews. * Enroll the provider into payment system - Windward. * Enter all provider information into credentialing database - Cactus. * Maintain the integrity of the provider information in Windward and Cactus. * Ensures credentialing file is in order with any issues flagged for committee. * Meet required turnaround time and accuracy rate. * Assist with other duties as assigned. * Assist management in the implementation of department process improvements. * Assist with the ongoing NCQA certification activities. * Represent DentaQuest in a professional manner at all times while communicating with internal and external requestors. * Maintains confidentiality of the credentialing information. * Other duties as needed or required. What you will bring with you: * High School Diploma or equivalent. * 1 year job related experience * Previous experience working with files or the collection and coordination of data preferred. * Knowledge of Dental terminology preferred. * Good interpersonal skills. * Ability to work independently. * Excellent oral and written communication skills. * Efficient PC skills (Word, Excel, Outlook, Work Flow Software, Time Tracking Systems). * Ability to learn new software programs quickly. * Ability to prioritize and organize multiple tasks. * Ability to remain organized with multiple interruptions. * Good customer service and problem resolution skills. * Ability to navigate websites needed for credentialing purposes. * Ability to adapt to a constantly changing environment. * Ability to work in excess of 40 hours in a week. * Required to attend additional training as requested/deemed necessary. * Previous experience working with files or the collection and coordination of data preferred. * Knowledge of Dental terminology preferred. * Incumbent must be able to communicate effectively. * Manual dexterity and sitting is required in carrying out position duties. Salary: Salary Range: $40,600 - $54,800 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Customer Service / Operations Posting End Date: 12/02/2026

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Locations: Must reside in Iowa The opportunity: The Complaints & Grievances Specialist II handles for the investigation and resolution of complaints, grievances and member appeals based upon specific regulatory requirements. In addition, responsible for the assembly and preparation of Maximus packets, State Fair Hearing packets as well as coordination and participation in State Fair Hearings. Accountable for daily interaction with assigned market/client contacts, as well as various internal departments. This position is also ensures that all mandated turnaround times are met as well as required processes and workflows are adhered to. How you will contribute: Investigate and resolve complaints and grievances in accordance with State and/or Plan guidelines. Ensure all components of the grievance/complaint are researched and addressed. Complaints/grievances that this role is responsible for include: Member Complaints/Grievances Member Complaints/Grievances submitted by plan (when DQ is secondary) Provider Complaint SDOH (State Department of Health) complaints DOI (Department of Insurance) complaints BBB (Better Business Bureau) complaints Executive complaints (complaints addressed to executives of DentaQuest) Any other complaints/grievance submitted as part of the formal grievance process Prepare State Fair Hearing packets and coordinate scheduling State Fair Hearing reviews Assemble necessary information for the plan so they may appropriately investigate member appeals/complaints when we are not delegated. Monitor shared mailboxes and department e-mails to ensure cases are properly entered into department tracking system, and that requests are acknowledged and resolved timely and accurately. Manage workflow to meet department, Plan, State, and company goals and deadlines. Comply with and resolve proof of compliance and directives. Contact involved provider office to obtain information to properly review the case. Document provider's/staff's perception of the member's concerns / issues. Document all complaints/grievances/appeals in department tracking system What you will bring with you: High School Diploma or GED required. 1 year of C&G experience with demonstrated success in C&G Specialist I or 2 years' experience in claims, customer service, provider network or another operational function. Proficient with general computer software including Microsoft Excel, Word and Outlook. Excellent verbal, written, interpersonal, organizational and communication skills. Excellent research skills with ability to identify underlying issue(s) not articulated Ability to remain calm and focused in a high pressure/high workload environment Ability to work in a high stress environment. Ability to prioritize and organize multiple tasks with tight deadlines. Ability to remain organized with multiple interruptions. Ability to work overtime as needed or required to meet business objectives. Salary: At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Customer Service / Operations Posting End Date: 19/02/2026

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: Location: Candidate must live in Iowa The opportunity: The Provider Partner Consultant handles developing and managing relationships with providers within their assigned market. As such, this role spends most time communicating with providers about suite of benefit programs (Medicaid, Medicare Advantage, Marketplace and Direct to Consumer and Commercial and any blend of dental products) to aid DLR in risk markets, and the P&L of the network. The Provider Partner Consultant works collaboratively with reporting to discern provider reports and promote continuous improvement top Providers (high performance metrics, cost, outliers, quality, etc.) How you will contribute: Maintain visibility within their market, with an eye toward managing their network across all product lines. Evaluate and monitor provider cost reports on an ongoing basis to educate and improve providers' cost and quality performance. Handles recruiting new providers and maintaining network participation by aiding dentists and dental office managers to improve their awareness of all available benefit programs. Responsible for educating providers, serve as primary point of contact for instruction and advising of the comprehensive policies and procedures involving all phases of the corporation's benefits and contracts through office visits and communication over the phone and email. Promote dentist adoption of technology solutions by promoting Web applications and increasing the volume of electronic claims. Seek continuous improvements by recommending changes in internal methods and procedures to Quality Assurance process. Facilitate Oral Health presentations to various educational institutions and organizations. Represent clients and company at trade shows, health fairs, audits, dental summits, etc. throughout the designated market and/or state. Governs creation and submission of all required reports. Acts as a subject matter expert for their respective geographic area Develop complete grasp of the Office Reference Manuals for implementation within their region. Develop and continually improve personalized presentations of company benefit programs Provide recommended solutions to market related issues. Measure impact of provider satisfaction (as tied to annual objectives of the team) and respond to provider issues. Organize and present information to providers and their staff by speaking before various provider organizations and representing the corporation in dental related activities. Assist in problem resolution by identifying improvement opportunities, evaluating feasibility of programs and presenting recommendations when appropriate. Performs in depth investigation of fee schedules, including fee schedule comparisons, to negotiate competitive custom fee schedules where needed Provides regular updates to senior management on internal and external issues affecting network market performance. Develop and implement processes to improve overall client and provider satisfaction Develop and maintain relationships with appropriate functional areas to ensure effective contract performance Aid innovative business practices and process improvement opportunities for current and prospective clients. Maintain a secondary network to ensure access to care for all eligible members. Other duties as assigned What you will bring with you: Dental knowledge with five (5) or more years of office experience. Managed Care experience Strong presentation skills Excellent verbal and written communication skills Ability to work independently and as part of a team Knowledge of Microsoft Office Ability to travel up to 50% locally Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected vetera n. Job Category: Sales - Client Relationship Management Posting End Date: 26/02/2026

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: Location: Candidate must live in Iowa The opportunity: The Associate Provider Partner Consultant serves as a key liaison between DentaQuest and its network of participating providers while also functioning as an operational and analytical resource to the broader Provider Engagement organization. This role blends direct provider relationship management with data reporting, project coordination, training, and communication responsibilities to ensure consistent and compliant engagement across all markets and lines of business. How you will contribute: Provider Engagement & Education Educate dental offices on policies, procedures, and value-based programs via phone, email, webinars, and in-office visits. Promote technology adoption including web portal functionality, electronic claims submission, and EFT options. Support onboarding of new providers and re-credentialing processes, ensuring accurate data, directory updates, and timely activation. Conduct training sessions and webinars; serve as SME on company tools, portals, and engagement processes. Operational Support Manage team SharePoint and internal resource sites; maintain updated link libraries, acronyms, and definition pages for Provider Partners. Create and maintain dashboards to track provider engagement metrics and outcomes. Generate leadership reports and monthly summaries highlighting performance, network status, and key initiatives. Submit AP requests, Committee submissions, and vendor oversight tracking (Trachmar, Veritas, etc.). Maintain communication templates, newsletters, FAQs, quick reference guides, and provider notifications with appropriate approvals (DMX, client, and compliance). Prepare and distribute provider scorecards, performance summaries, and compliance updates where applicable. Project Management & Collaboration Coordinate internal and client-facing projects by creating project plans, maintaining timelines, recording notes, and following up on deliverables. Track new business implementations and network loads, including opt-outs, amendments, and provider terminations. Participate with initiatives, ensuring materials, ORMs, and communications are validated and timely. Support implementation of new tools and systems, serving as a super user or trainer for new software/hardware rollouts. Partner with marketing and communications to align materials across all markets for consistency and professional presentation. Data, Reporting, and Compliance Run and validate reports to maintain provider directories, GeoAccess, and network validation compliance. Perform Excel-based comparisons, file merges, and network analyses to identify disruptions, gaps, or discrepancies. Maintain tracking logs for provider notifications, trainings, and regulatory deliverables. Ensure compliance with all policies, CMS, and state contractual requirements including annual provider compliance trainings. Training, Support & Internal Leadership Develop and facilitate team training on dashboards, reporting, purchasing, vendor management, and provider communications. Lead and coordinate internal engagement efforts (holiday events, team meetings, SME presentations, etc.) to promote collaboration. What you will bring with you: Associate's degree; Bachelor's preferred (Business, Healthcare Administration, or related field) or relevant years of experience Minimum of 3 years' experience in healthcare or managed dental care, including provider support or network administration. Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word, Teams, SharePoint). Strong project management, data analysis, and organizational skills. Excellent written and verbal communication; ability to work across teams and with providers. Up to 25% travel required for provider office visits, meetings, and events. Preferred Qualifications: 5+ years of dental or managed care experience. Experience with DentaQuest systems (Oracle, Veritas, Trachmar, DMX, NGPP). Demonstrated expertise in provider training, communications, and process improvement. Experience building dashboards, managing SharePoint content, and coordinating multi-state initiatives. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected vetera n. Job Category: Sales - Client Relationship Management Posting End Date: 26/02/2026

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: ** Candidate must reside in the state of Iowa. Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work in the contiguous states plus AK. The opportunity: Provider Enrollment and Credentialing Specialist reviews all aspects of the Initial/ Re-Apply Credentialing, Re-credentialing, privileging and overseeing the onboarding process for all incoming providers. Primary responsibilities include verifying all the credentialing criteria for practitioners that have applied to the network, including follow up with practitioners as needed to obtain information How you will contribute: Verify potential and existing provider's licensure, NPI, insurance, CDS, DEA certificate, education, hospital privileges, board certification. Contract Validation: Review contract and application for completeness. Review National Practitioners Data Bank for adverse charges pending or filed against Provider. Review federal and/ or state OIG and SAM report for exclusion from the Medicaid or Medicare program. Review state Medicare OPT Out report for exclusion from the Medicare program. Monitors and reports provider complaints and utilization management reports. Assist with scheduling site reviews. Enroll the provider into payment system - Windward. Enter all provider information into credentialing database - Cactus. Maintain the integrity of the provider information in Windward and Cactus. Ensures credentialing file is in order with any issues flagged for committee. Meet required turnaround time and accuracy rate. Assist with other duties as assigned. Assist management in the implementation of department process improvements. Assist with the ongoing NCQA certification activities. Represent DentaQuest in a professional manner at all times while communicating with internal and external requestors. Maintains confidentiality of the credentialing information. Other duties as needed or required. What you will bring with you: High School Diploma or equivalent. 1 year job related experience Previous experience working with files or the collection and coordination of data preferred. Knowledge of Dental terminology preferred. Good interpersonal skills. Ability to work independently. Excellent oral and written communication skills. Efficient PC skills (Word, Excel, Outlook, Work Flow Software, Time Tracking Systems). Ability to learn new software programs quickly. Ability to prioritize and organize multiple tasks. Ability to remain organized with multiple interruptions. Good customer service and problem resolution skills. Ability to navigate websites needed for credentialing purposes. Ability to adapt to a constantly changing environment. Ability to work in excess of 40 hours in a week. Required to attend additional training as requested/deemed necessary. Previous experience working with files or the collection and coordination of data preferred. Knowledge of Dental terminology preferred. Incumbent must be able to communicate effectively. Manual dexterity and sitting is required in carrying out position duties. Salary: Salary Range: $40,600 - $54,800 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected vetera n. Job Category: Customer Service / Operations Posting End Date: 12/02/2026